Organization Active NPI

Vascular Laboratory of Western New England

  • Physiological Laboratory
  • Springfield, MA
National Provider Identifier
1922080555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
VASCULAR LABORATORY OF WESTERN NEW ENGLAND
Practice address
3500 Main St
Suite 202
Springfield, MA 01107-1110
Phone
(413) 784-0900
Fax
(413) 781-5035
NPI assigned
Nov 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffrey Lawrence Kaufman, M.D.
Title
Managing Partner
Phone
(413) 784-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3500 Main St
Suite 202
Springfield, MA 01107-1110

Mailing address

3500 Main St
Suite 202
Springfield, MA 01107-1110
Phone (413) 784-0900

Other identifiers 1

IdentifierTypeStateIssuer
9784187MedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Vascular Services of Western New England PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3500 Main St
Ste 202
Springfield, MA 01107
Phone (413) 784-0900

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922080555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAIN ST",
            "address_2": "SUITE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071110",
            "telephone_number": "413-784-0900",
            "fax_number": "413-781-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 MAIN ST",
            "address_2": "SUITE 202",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071110",
            "telephone_number": "413-784-0900",
            "fax_number": "413-781-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR LABORATORY OF WESTERN NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "413-784-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9784187",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.